| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
112 |
84 |
$7K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
30 |
27 |
$3K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
77 |
73 |
$2K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
14 |
14 |
$1K |
| 92552 |
|
13 |
13 |
$503.44 |
| 90656 |
|
27 |
27 |
$23.13 |
| G0447 |
Face-to-face behavioral counseling for obesity, 15 minutes |
76 |
72 |
$0.00 |
| 3008F |
|
77 |
72 |
$0.00 |
| 99173 |
|
13 |
13 |
$0.00 |